At Direct Sports Medicine, Llc

LBN: At Direct Sports Medicine, Llc
At Direct Sports Medicine, Llc is an health care organization with primary practice located at 6424 E Fairfield St , Mesa AZ 85205-6042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. At Direct Sports Medicine, Llc can be contacted via phone (520) 235-0067, or through Erickson, Casey via phone (520) 235-0067.

Contact Information

Primary practice address
6424 E Fairfield St Mesa AZ 85205-6042
Phone: (520) 235-0067
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Casey AT
Phone: (520) 235-0067

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X 1318 Arizona

Profile Details

NPI number 1720507262
LBN Legal business name At Direct Sports Medicine, Llc
DBA Doing business as
Authorized official Erickson, Casey AT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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